course materials

1. Discussion: Biopsychosocial Concepts for Advanced Nursing Practice I
Discussion: Biopsychosocial Concepts for Advanced Nursing Practice I ON Discussion:
Biopsychosocial Concepts for Advanced Nursing Practice Ithe sample concept map is
attached i just need a version that i can edit and put in my own information because the
sample the student gave isn’t letting me delete the information and put my own writing if
you could change the color and/or box shape that would be awesome no writing is to be
done just need a concept map similiar to the one attachedDiscussion: Biopsychosocial
Concepts for Advanced Nursing Practice Iattachment_1attachment_2Unformatted
Attachment PreviewRunning head: CONCEPT MAP 1 Concept Map Learner’s Name Capella
University Biopsychosocial Concepts for Advanced Nursing Practice I Concept Map April,
2019 Copyright ©2018 Capella University. Copy and distribution of this document are
prohibited. CONCEPT MAP 2 Concept Map Patient Info Name: Jane Doe | Gender: Female |
Age: 72 Vitals: Temp: 37 °C (98.6 °F), BP: 162/94, Pulse: 92, Respiratory rate: 26 and
shallow Chief complaint: Shortness of breath (SOB) and difficulty breathing Medical history:
Hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD) Nursing
Diagnosis Impaired gas exchange related to destruction of the alveoli, narrowing of
bronchioles, and trapping of air resulting in loss of lung elasticity Subjective data: Difficulty
breathing and SOB Nursing Diagnosis Ineffective airway clearance related to
bronchoconstriction, increased mucus production Subjective data: The patient states she
has been sleeping in a recliner chair for the past three nights because of difficulty breathing
Nursing Diagnosis Activity intolerance related to hypoxia (imbalance between oxygen
supply and demand) Subjective data: “I find it difficult to breathe. I can’t catch my breath
when I walk a few feet.” — Jane Doe Objective data: Crackles and wheezing heard upon
auscultation, dyspnea, tachypnea, nasal flaring, use of accessory muscles, late signs of
cyanosis (Linton, 2015), and oxygen saturation is 90% on room air Objective data:
Wheezing heard upon auscultation, dyspnea, tachypnea, and use of accessory muscles
(Linton, 2015) Nursing Interventions Independent intervention (II): Monitor the patient’s
arterial blood gases, oxygen saturation, vital signs, and color and assess for manifestations
such as restlessness, anxiety, lethargy, and confusion Rationale: This process will help
detect potential hypoxemia or hypercapnia (LeMone et al., 2015) Nursing Interventions II:
Demonstrate pursed-lip and diaphragmatic breathing and encourage the patient to practice
them periodically Rationale: These techniques reduce air trapping and fatigue and help
maintain open airways (LeMone et al., 2015) Nursing Interventions II: Teach and encourage
the use of the pursed-lip breathing technique while performing activities Rationale:

2. Discussion: Biopsychosocial Concepts for Advanced Nursing Practice IThis technique can
lower breathlessness and improve respiratory function (Ackley, Ladwig, Makic, 2016) II:
Position the patient in an upright or high Fowler’s position Rationale: This posture
promotes lung ventilation (LeMone et al., 2015) II: Advise the patient to take rest periods
before and after activities Rationale: Resting reduces fatigue and lowers the demand for
oxygen (LeMone et al., 2015) Collaborative intervention (CI): Supervise oxygen (O2) at 2
L/min through nasal cannula as ordered. Instruct the patient and kin not to increase the O2
level Rationale: Oxygen therapy is used to treat hypoxia and is prescribed for chronic and
acute breathing problems (Rees, 2017). However, a sudden increase in the O2 level can lead
to respiratory failure (Linton, 2015) II: Position the patient in an upright or high Fowler’s
position (Linton, 2015) Rationale: This posture promotes lung ventilation (LeMone et al.,
2015) II: Instruct and teach the patient to perform the pursed-lip breathing technique
Rationale: This technique slows the respiratory rate and reduces air trapping and fatigue
(LeMone et al., 2015) Expected Outcomes Arterial blood gases and vital signs will be
consistent with patient norms, indicating improvement in gas exchange (Linton, 2015) The
pursed-lip breathing technique will reduce dyspnea (Linton, 2015) CI: Encourage deep
breathing and the use of an incentive spirometer Rationale: Using an incentive spirometer
prevents complications such as pneumonia and atelectasis (LeMone et al., 2015) CI:
Collaborate with a respiratory therapist to teach the patient how to cough effectively
Rationale: This technique helps open distal alveoli and remove secretions (LeMone et al.,
2015) II: Provide emotional to the patient Rationale: This intervention will be therapeutic,
make the patient feel comfortable, and help her cope with the diagnosis (Kazanowski, 2017;
LeMone et al., 2015) Expected Outcomes The patient will have open airways. Signs of clear
and open airways are normal depth and rate of respiration, normal breathing sounds, and
effective coughing of secretions (Linton, 2015) Copyright ©2018 Capella University. Copy
and distribution of this document are prohibited. Objective data: Late signs of cyanosis,
crackles and wheezing heard upon auscultation, and use of accessory muscles (Linton,
2015) CI: Recommend a pulmonary rehabilitation program Rationale: Pulmonary
rehabilitation can lower exertional dyspnea and perceived intensity of breathlessness
(Ackley et al., 2016) CI: Collaborate with a respiratory therapist for cough control and
improved breathing Rationale: This will help improve or maintain oxygenation in the
patient (Boon, 2018) CI: Supervise oxygen (O2) at 2 L/min through nasal cannula as
ordered. Instruct the patient and kin not to increase the O2 level Rationale: Oxygen therapy
is used to treat hypoxia and is prescribed for chronic and acute breathing problems (Rees,
2017). However, a sudden increase in the O2 level can lead to respiratory failure (Linton,
2015) Expected Outcomes The vital signs of the patient will show normal fluctuation during
physical activity, which is a measure of activity tolerance (LeMone et al., 2015) CONCEPT
MAP 3 Introduction This paper presents an evidence-based concept map that illustrates a
nursing care plan to achieve high-quality outcomes for a patient experiencing SOB and
difficulty breathing. The concept map contains urgent diagnoses, possible nursing
interventions, and opportunities for interprofessional collaboration as well as rationales
and possible high-quality outcomes. The narrative justifies the value and relevance of the
evidence used in the concept map and provides additional evidence, conflicting data, and

3. the scope of interprofessional collaborations in achieving high-quality outcomes. Additional
Evidence Jane Doe is a 72-year-old female experiencing SOB and difficulty breathing. The
suspected diagnoses are based on the patient’s medical history and physical examination.
The evidence used in the concept map is a combination of subjective (patientreported
distress) and objective (symptoms or characteristics related to a condition observed in the
patient) data obtained after an investigation. Doe also suffered from emphysema in the past.
Fatigue, SOB, edema, and wheezing are common symptoms of COPD. The diagnoses in the
concept map are related to various conditions related to COPD such as emphysema and
chronic bronchitis. Discussion: Biopsychosocial Concepts for Advanced Nursing Practice
IThis evidence suggests that the client’s current distress could be related to COPD. However,
symptoms such as wheezing, edema, SOB, and fatigue can also be observed in a person
suffering from congestive heart failure (LeMone et al., 2015). Even though COPD and
congestive heart failure have several risk factors and symptoms in common, the causes and
treatments are different. Interprofessional Strategies An interprofessional collaboration
between health care professionals, patients, and their caregivers is required for high-quality
outcomes. Successful collaborations require positive reinforcement and mutual feedback in
an objective and non-discriminatory setting (Amalakuhan & Adams, 2015). COPD will
benefit from a combination of pharmacological and non-pharmacological interventions
guided by an interprofessional collaborative practice. The concept map clearly identifies
interventions that can be performed independently and those that need interprofessional
collaboration. For instance, it is necessary to collaborate with a respiratory therapist to
teach and assist a patient in coughing effectively. Similarly, referring the patient to a
pulmonary rehabilitation program can help lower exertional dyspnea and the perceived
intensity of breathlessness. The concept map also facilitates communication in an
interprofessional team by identifying the types of nursing interventions required, thereby
preventing conflict. Health care professionals must collaborate with caregivers and COPD
patients to achieve high-quality outcomes. This collaboration should effectively optimize
non-pharmacological interventions such as providing smoking cessation counseling for
patients who find it difficult to quit the habit, promoting pulmonary rehabilitation
programs, and administering appropriate vaccinations. Interprofessional collaborations
should also focus on helping patients gradually incorporate more physical activity into their
lifestyles and managing comorbidities common in COPD in addition to the interventions
discussed in the concept map. Health care professionals, caregivers, and COPD patients
must work together to deliver the prescribed pharmacotherapy (Amalakuhan & Adams,
2015). Value and Relevance of Evidence An evidence-based concept map with
interprofessional strategies allows health care professionals to collaborate and analyze
patient data as well as think critically (Aein & Aliakbari, 2017). According to Cook, Dover,
Dickson, and Colton, concept map development is an alternative to a traditional nursing
care plan for evidence-based practices. The traditional linear format of a nursing care plan
may not have the scope to record a holistic picture of patients’ requirements. It does not
facilitate visualization of the interrelated nature of patient data. On the other hand, a
concept map allows for a systematic visualization of psychological, physiological, and
pathophysiological relationships and interactions, which promotes quality analysis (as cited

4. in Aein & Aliakbari, 2017). The findings of a study conducted by Gerdeman, Lux, and Jacko
show that medical students approached concept mapping as Copyright ©2018 Capella
University. Copy and distribution of this document are prohibited. CONCEPT MAP 4 an
instrument to improve clinical judgment and make better clinical decisions. Finally, the
minimal use of text in a concept map facilitates easy searching for terms related to the
disorder or condition being treated (as cited in Aein & Aliakbari, 2017). Conclusion COPD is
a group of progressive lung diseases such as emphysema and bronchitis. Interprofessional
strategies to treat COPD can improve outcomes, and collaboration between health care
professionals can aid in providing comprehensive care to patients. Concept mapping is
useful in improving critical thinking among professionals. A concept map helps in recording
a holistic picture of the patient’s needs and facilitates visualization of the data. Therefore, a
concept map is an essential tool to develop nursing care plans to achieve high-quality
outcomes. Copyright ©2018 Capella University. Discussion: Biopsychosocial Concepts for
Advanced Nursing Practice ICopy and distribution of this document are prohibited.
CONCEPT MAP 5 References Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2016). Nursing
diagnosis handbook: An evidence-based guide to planning care (11th ed.). Retrieved from
https://books.google.co.in/books?id=s3OKCwAAQBAJ&lpg=PP1&pg=PP1#v=onepage&q&f
=false Aein, F., & Aliakbari, F. (2017). Effectiveness of concept mapping and traditional
linear nursing care plans on critical thinking skills in clinical pediatric nursing course.
Journal of Education and Health Promotion, 6(13). Amalakuhan, B., & Adams, S. G. (2015).
Improving outcomes in chronic obstructive pulmonary disease: The role of the
interprofessional approach. International Journal of Chronic Obstructive Pulmonary
Disease, 10(1), 1225–1232. Boon, C.W. (2018). Oxygenation. In Potter, P. A., Perry, A. G.,
Stockert, P. A., & Hall, A. M. (Eds.), Essentials for nursing practice (9th ed., pp. 865–916).
Retrieved from
https://books.google.co.in/books?id=wDtRDwAAQBAJ&lpg=PP1&pg=PR3#v=onepage&q&f
=false Kazanowski, M. K. (2017). End-of-life-care concepts. In Ignatavicius, D. D., Workman,
M. L., & Rebar, C. R. (Eds.), Medicalsurgical nursing: Concepts for interprofessional
collaborative care (9th ed., pp. 103–116). Retrieved from
https://books.google.co.in/books?id=Qzg1DwAAQBAJ&lpg=PA244&dq=incentive%20spiro
meter%20prevent%20pneumonia &pg=PA112#v=onepage&q&f=false LeMone, P., Burke,
K., Dwyer, T., Levett-Jones, T., Moxham, L., & Reid-Searl, K. (2015). Medical-Surgical nursing:
Critical thinking for person-centred care (2nd Australian ed.). Retrieved from
https://books.google.co.in/books?id=MDXiBAAAQBAJ&lpg=PP1&dq=LeMone%2C%20Burk
e%2C%20Dwyer%2C%20Lev ett-
Jones%2C%20Moxham%2C%20ReidSearl%2C%202015&pg=PP1#v=onepage&q=LeMone,
%20Burke,%20Dwyer,%20Levett-Jones,%20Moxham,%20ReidSearl,%202015&f=false
Linton, A. D. (2015). Introduction to medical-surgical nursing (6th ed.). Retrieved from
https://books.google.co.in/books?id=o5jTBgAAQBAJ&lpg=PP1&pg=PP1#v=onepage&q&f=f
alse Rees, H. (2017). Care of patients requiring oxygen therapy or tracheostomy. In
Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (Eds.), Medical-surgical nursing: Concepts
for interprofessional collaborative care (9th ed., pp. 529–546). Retrieved from
https://books.google.co.in/books?id=Qzg1DwAAQBAJ&lpg=PA244&dq=incentive%20spiro

5. meter%20prevent%20pneumonia &pg=PA529#v=onepage&q&f=false Copyright ©2018
Capella University. Copy and distribution of this document are prohibited. Running head:
CONCEPT MAP 1 Concept Map Learner’s Name Capella University Biopsychosocial Concepts
for Advanced Nursing Practice I Concept Map April, 2019 Copyright ©2018 Capella
University. Copy and distribution of this document are prohibited. CONCEPT MAP 2 Concept
Map Patient Info Name: Jane Doe | Gender: Female | Age: 72 Vitals: Temp: 37 °C (98.6 °F),
BP: 162/94, Pulse: 92, Respiratory rate: 26 and shallow Chief complaint: Shortness of
breath (SOB) and difficulty breathing Medical history: Hypertension, hyperlipidemia, and
chronic obstructive pulmonary disease (COPD) Nursing Diagnosis Impaired gas exchange
related to destruction of the alveoli, narrowing of bronchioles, and trapping of air resulting
in loss of lung elasticity Subjective data: Difficulty breathing and SOB Nursing Diagnosis
Ineffective airway clearance related to bronchoconstriction, increased mucus production
Subjective data: The patient states she has been sleeping in a recliner chair for the past
three nights because of difficulty breathing Nursing Diagnosis Activity intolerance related to
hypoxia (imbalance between oxygen supply and demand) Subjective data: “I find it difficult
to breathe. Discussion: Biopsychosocial Concepts for Advanced Nursing Practice II can’t
catch my breath when I walk a few feet.” — Jane Doe Objective data: Crackles and wheezing
heard upon auscultation, dyspnea, tachypnea, nasal flaring, use of accessory muscles, late
signs of cyanosis (Linton, 2015), and oxygen saturation is 90% on room air Objective data:
Wheezing heard upon auscultation, dyspnea, tachypnea, and use of accessory muscles
(Linton, 2015) Nursing Interventions Independent intervention (II): Monitor the patient’s
arterial blood gases, oxygen saturation, vital signs, and color and assess for manifestations
such as restlessness, anxiety, lethargy, and confusion Rationale: This process will help
detect potential hypoxemia or hypercapnia (LeMone et al., 2015) Nursing Interventions II:
Demonstrate pursed-lip and diaphragmatic breathing and encourage the patient to practice
them periodically Rationale: These techniques reduce air trapping and fatigue and help
maintain open airways (LeMone et al., 2015) Nursing Interventions II: Teach and encourage
the use of the pursed-lip breathing technique while performing activities Rationale: This
technique can lower breathlessness and improve respiratory function (Ackley, Ladwig,
Makic, 2016) II: Position the patient in an upright or high Fowler’s position Rationale: This
posture promotes lung ventilation (LeMone et al., 2015) II: Advise the patient to take rest
periods before and after activities Rationale: Resting reduces fatigue and lowers the
demand for oxygen (LeMone et al., 2015) Collaborative intervention (CI): Supervise oxygen
(O2) at 2 L/min through nasal cannula as ordered. Instruct the patient and kin not to
increase the O2 level Rationale: Oxygen therapy is used to treat hypoxia and is prescribed
for chronic and acute breathing problems (Rees, 2017). However, a sudden increase in the
O2 level can lead to respiratory failure (Linton, 2015) II: Position the patient in an upright
or high Fowler’s position (Linton, 2015) Rationale: This posture promotes lung ventilation
(LeMone et al., 2015) II: Instruct and teach the patient to perform the pursed-lip breathing
technique Rationale: This technique slows the respiratory rate and reduces air trapping and
fatigue (LeMone et al., 2015) Expected Outcomes Arterial blood gases and vital signs will be
consistent with patient norms, indicating improvement in gas exchange (Linton, 2015) The
pursed-lip breathing technique will reduce dyspnea (Linton, 2015) CI: Encourage deep

6. breathing and the use of an incentive spirometer Rationale: Using an incentive spirometer
prevents complications such as pneumonia and atelectasis (LeMone et al., 2015) CI:
Collaborate with a respiratory therapist to teach the patient how to cough effectively
Rationale: This technique helps open distal alveoli and remove secretions (LeMone et al.,
2015) II: Provide emotional to the patient Rationale: This intervention will be therapeutic,
make the patient feel comfortable, and help her cope with the diagnosis (Kazanowski, 2017;
LeMone et al., 2015) Expected Outcomes The patient will have open airways. Signs of clear
and open airways are normal depth and rate of respiration, normal breathing sounds, and
effective coughing of secretions (Linton, 2015) Copyright ©2018 Capella University. Copy
and distribution of this document are prohibited. Objective data: Late signs of cyanosis,
crackles and wheezing heard upon auscultation, and use of accessory muscles (Linton,
2015) CI: Recommend a pulmonary rehabilitation program Rationale: Pulmonary
rehabilitation can lower exertional dyspnea and perceived intensity of breathlessness
(Ackley et al., 2016) CI: Collaborate with a respiratory therapist for cough control and
improved breathing Rationale: This will help improve or maintain oxygenation in the
patient (Boon, 2018) CI: Supervise oxygen (O2) at 2 L/min through nasal cannula as
ordered. Instruct the patient and kin not to increase the O2 level Rationale: Oxygen therapy
is used to treat hypoxia and is prescribed for chronic and acute breathing problems (Rees,
2017). However, a sudden increase in the O2 level can lead to respiratory failure (Linton,
2015) Expected Outcomes The vital signs of the patient will show normal fluctuation during
physical activity, which is a measure of activity tolerance (LeMone et al., 2015) CONCEPT
MAP 3 Introduction This paper presents an evidence-based concept map that illustrates a
nursing care plan to achieve high-quality outcomes for a patient experiencing SOB and
difficulty breathing. The concept map contains urgent diagnoses, possible nursing
interventions, and opportunities for interprofessional collaboration as well as rationales
and possible high-quality outcomes. The narrative justifies the value and relevance of the
evidence used in the concept map and provides additional evidence, conflicting data, and
the scope of interprofessional collaborations in achieving high-quality outcomes. Additional
Evidence Jane Doe is a 72-year-old female experiencing SOB and difficulty breathing. The
suspected diagnoses are based on the patient’s medical history and physical examination.
The evidence used in the concept map is a combination of subjective (patientreported
distress) and objective (symptoms or characteristics related to a condition observed in the
patient) data obtained after an investigation. Doe also suffered from emphysema in the past.
Fatigue, SOB, ed …Discussion: Biopsychosocial Concepts for Advanced Nursing Practice I